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Filing # 135095199 E-Filed 09/22/2021 01:52:06 PM
IN THE CIRCUIT COURT OF THE FIFTH JUDICIAL CIRCUIT
IN AND FOR MARION COUNTY, FLORIDA
CIVIL DIVISION
VIRGINIA PHILLIPS,
Plaintiff, CASE NO: 2019-CA-0142
Vv.
DONALD LAMBERT AND,
DJ’S ROOT SCOOTER, INC.
A Florida Corporation,
Defendants.
/
NOTICE OF PRODUCTION FROM NON-PARTIES
YOU ARE NOTIFIED that after ten (10) days from the date of service of this Notice, the
undersigned will issue the attached Subpoenas Duces Tecum directed to the following parties who
are not a party to this action:
Insurance/Financing:
Agency for Health Care Administration Update &
2727 Mahan Drive, MS#4 Pay-Out Log
Tallahassee, FL 32308
CMS, Medicare Atlanta Regional Office Update &
Atlanta Federal Center, 4"" Floor Pay-Out Log
61 Forsyth Street, SW, Ste. 4T20
Atlanta, GA 30303-8909
Care Plus Health Plans, Inc. (CPHP) New, All Records
PO Box 14697
Lexington, KY 40512
CarePlus Health Plans, Inc. New, All Records
c/o Corporation Service Company, Registered Agent
1201 Hays Street
Tallahassee, FL 32301-2525
Care Plus Health Plans, Inc. (CPHP) New, All Records
c/o Chief Financial Officer, Registered Agent
200 East Gaines Street
Tallahassee, FL 32399
Electronically Filed Marion Case # 19CA000142AX 09/22/2021 01:52:06 PM
(00297436-1
First Acceptance Insurance Company Update &
c/o Chief Financial Officer, Registered Agent Pay-Out Log
200 East Gaines Street
Tallahassee, FL 32399
Treatment Providers:
Advanced Imaging Centers Ocala — East Campus Updated Billing
2300 SE 17" St, Suite 800
Ocala, FL 34471
Advanced Imaging Centers - West Campus Updated Billing
8150 SW. State Road 200
Ocala, FL 34481
Advanced Interventional Pain Clinic New, All Records
451 South Milwee Street
Longwood, FL 32807
Advanced Physical Therapy of Central Florida, Inc Updated Billing
c/o Cara Hammond, CEO, Registered Agent
1202 SW 17" Street, #201-229
Ocala, FL 34471
Advent Health Ocala Updated Billing
fka Munroe Regional Medical Center
1500 SW 1* Avenue
Ocala, FL 34471
Advent Health Ocala Updated Billing
fka Munroe Regional Medical Center
221 SW 11" Street
Ocala, FL 34371
Dana Allen M. New, All Records &
1490 SE Magnolia Ext. Individual Billing
Ocala, FL 34471
Anidjar, Simi, M.D., Individually New, All Records &
c/o Advanced Imaging Centers — East Campus Individual Billing
2300 SE 17" Street
Ocala, FL 34471
Associated Comprehensive Eye Care, P.A., Updated Billing
c/o David A. Young, CPA, Registered Agent
1243 S.E. 22" Avenue
Ocala, FL 34471
(00297436-1
Associates for Evaluation & Therapy of Central Florida, P.A. New, All Records
1515 E. Silver Springs Blvd., Ste. 112
Ocala, FL 34470
Atkinson, Maria, M.D. New, All Records &
1328 SE 25™ Loop, Ste. 102 Individual Billing
Ocala, FL 34471
Bethel Blood & Cancer Center Updated Billing
c/o David L. Schick, Registered Agent
200 S. Orange Avenue
Orlando, FL 32801
Bohsali, Kareem New, All Records &
PO Box 6200 Individual Billing
Ocala, FL 34478
Bohsali, Kareem, Individually New, All Records &
c/o Timerridge Imaging Center Individual Billing
9521 SW Highway 200
Ocala, FL 34481
Bovell, Don, M.D. New, All Records &
6600 SW Highway 200, Ste. 119 Individual Billing
Ocala, FL 34476
Bovell, Don, M.D. New, All Records &
628 Cagan View Rd., Ste. 3 Individual Billing
Clermont, FL 34714
Cain, John M., M.D. New, All Records &
1490 SE Magnolia Ext Individual Billing
Ocala, FL 34471
Center for Palliative Care, LLC New, All Records
3231 SW 34" Avenue
Ocala, FL 34474
Central Florida Pain Management All Records
1731 SW 2™ Avenue
Ocala, FL 34471
Comprehensive Pain Management Services New, All Records
2685 SW 32™ Place, Suite 500
Ocala, FL 34471
(00297436-1
Countryside Medical New, All Records
7860 SW 103" Street Road, Ste. 101
Ocala, FL 34476
Dhaon, Nicole, DO New, All Records &
PO Box 844911 Individual Billing
Los Angeles, CA 90084
Dhaon, Nicole, DO New, All Records &
3210 SW 33" Road, Ste. 102 Individual Billing
Ocala, FL 34474
Dhaon, Nicole, DO New, All Records &
1541 SW 1° Avenue, Ste. 105 Individual Billing
Ocala, FL 34471
Djo, LLC New, All Records
PO Box 515471
Los Angeles, CA 90051-6771
Djo, LLC New, All Records
c/o NRAI Services, Inc.
1200 South Pine Island Road
Plantation, FL 33324
DOCS of Ocala Updated Billing
c/o Larry Williams, Registered Agent
400 12" Avenue North, Suite 400
St. Petersburg, FL 33701
DOCS of Ocala, Inc. Updated Billing
1030 SE 17" Street
Ocala, FL 34471
Dolphin Emergency Physicians Updated Billing
c/o Corporation Service Company
1201 Hayes Street
Tallahassee, FL 32301
Dolphin Emergency Physicians, LLC Updated Billing
7700 W. Sunrise Blvd.
Plantation, FL 33322
DST Pharmacy Solutions, Inc. New, All Records
Dept. 0756
PO Box 419019
Kansas City, MO 64141
(00297436-1
DST Pharmacy Solutions, Inc. New, All Records
c/o Corporation Service Company, Registered Agent
1201 Hays Street
Tallahassee, FL 32301-2525
Dunnellon Chiropractic Updated Billing
c/o Chery] Stanley, Registered Agent
20079 E. Pennsylvania Avenue
Dunnellon, FL 34432
Florida Pain Clinic New, All Records
aka Pain Treatment Center
aka Paintreatment Center
2300 S. Pine Avenue, Suite B
Ocala, FL 34471
Florida Pain & Rehabilitation Center Updated Billing
c/o Corporation Service Company
1201 Hayes Street
Tallahassee, FL 32301
Florida Pain & Rehab Updated Billing
1910 SW 18" Court, Ste. 200
Ocala, FL 34471
Freeman, Jacob L., M.D., individually New, All Records &
c/o Ocala Neurosurgical Center Individual Billing
1901 SE 18" Avenue, #101
Ocala, FL 34471
Guyett, Heather M., CRN New, All Records &
PO Box 645305 Individual Billing
Cincinnati, OH 45264
Guyett, Heather M., CRN, individually New, All Records &
c/o Munroe Regional Medical Center Individual Billing
1500 SW 1* Avenue
Ocala, FL 34371
Hacker, Lorie Lee New, All Records &
3231 SW 34" Avenue Individual Billing
Ocala, FL 34474-8489
Harmony House Psychiatric New, All Records
5762 SW 60" Avenue
Ocala, FL 34474
(00297436-1
Henderson, Dr. Daniel, Ph.D. New, All Records
Associates for Evaluation & Therapy of Central Florida, P.A.
1515 E. Silver Springs Blvd., Ste. 112
PO Box 2854
Ocala, FL 34478-2854
Henderson, Dr. Daniel, Ph.D. New, All Records &
PO Box 2854 Individual Billing
Ocala, FL 34478-2854
Hou, Nan Nan, PA-C, individually New, All Records &
c/o Radiology Associates of Ocala, LLC Individual Billing
1901 SE 18" Avenue, Ste. 101
Ocala, FL 34471
Lee, Kenneth, D.O. New, All Records &
7860 SW 103" Street Road, Ste. 101 Individual Billing
Ocala, FL 34476
Lee, Kenneth Baruch D.O. New, All Records &
216 NE 1 Avenue Individual Billing
Ocala, FL 34470
Magellan Health, Inc. New, All Records
4800 N. Scottsdale Road, Ste. 4400
Scottsdale, AZ 85251
Magellan Health, Inc. New, All Records
c/o Corporation Service Company, Registered Agent
1201 Hays Street
Tallahassee, FL 32301-2525
Magnolia Family Urgent Care New, All Records
1490 SE Magnolia Avenue
Ocala, FL 34471
Marion Pain Management Center Updated Billing
c/o Corporation Service Company
1201 Hayes Street
Tallahassee, FL 32301
Neurological Associates All Records
2685 SW 32™ Place, Suite 100
Ocala, FL 34471
Marion County Fire Rescue Update All Records
2631 SE Third Street
Ocala, FL 34471
(00297436-1
McPherson, Anthony, M.D. New, All Records &
10250 SE 167" Place Road, Suite 5-1 Individual Billing
Summerfield, FL 34491
MedOne Urgent Care New, All Records
6160 SW Highway 200, Ste. 119
Ocala, FL 34476
Mitta, Walter R., M.D. Update All Records
9401 SW Highway 200, Bldg. 700, Ste. 701
Ocala, FL 34481
Mohan, Thomas R., ARNP New, All Records &
2685 SW 32" Place, Ste. 400 Individual Billing
Ocala, FL 34471
Moulette, Irina New, All Records &
PO Box 743170 Individual Billing
Atlanta, GA 30374
Moulette, Irina, individually New, All Records &
c/o Munroe Regional Medical Center Individual Billing
1500 SW 1* Avenue
Ocala, FL 34371
Munroe Regional Medical Center Updated Billing
nka Advent Health Ocala
1500 SW 1* Avenue
Ocala, FL 34371
Munroe Pathology Group New, All Records
PO Box 743170
Atlanta, GA 30374
Munroe Pathology Group New, All Records
c/o Munroe Regional Medical Center
1500 SW 1* Avenue
Ocala, FL 34371
Ocala Health Surgical Group, LLC Updated Billing &
dba Ocala Neurological Center Medical
c/o CT Corporation System, Registered Agent
1200 South Pine Island Road
Plantation, FL 33324
Ocala Neurological Center Updated Billing &
c/o CT Corporation System, Registered Agent Medical
1200 South Pine Island Road
Plantation, FL 33324
(00297436-1
Ocala Neurosurgical Center Updated Billing &
1901 SE 18" Avenue, #101 Medical
Ocala, FL 34471
Ocala Regional Medical Center Updated Billing &
1431 SW 1 Avenue Medical
Ocala, FL 34471
Orthofix, Inc. New, All Records
3451 Plano Parkway
Lewisville, TX 75056
Orthofix, Inc.
c/o Corporation Service Company
1201 Hayes Street
Tallahassee, FL 3230-2525
Orthopedic Specialty Care in Ocala New, All Records
2685 SW 21nd Place, Ste. 400
Ocala, FL 34471
Miller, Stephen, M.D., individually New, All Records &
c/o Suncoast Podiatry Associates Individual Billing
3301 SW 34” Circle
Ocala, FL 34474
Pain Treatment Center New, All Records
aka Paintreatment Center
aka Florida Pain Clinic
2300 S. Pine Avenue
Ocala, FL 34471
Dr. Daniel A. Patterson, MD New, All Records
3256 S. Pine Avenue
Ocala, FL 34471
Porciuncula, Mary B., M.D. New, All Records &
PO Box 974984 Individual Billing
Dallas, TX 75397
Porciuncula, Mary B., M.D., individually New, All Records &
c/o Munroe Regional Medical Center Individual Billing
1500 SW 1* Avenue
Ocala, FL 34471
Pyles, Stephen, M.D., individually New, All Records &
c/o Pain Treatment Centers of Florida Individual Billing
2300 S. Pine Avenue, Suite B
(00297436-1
Ocala, FL 34471
Pyles, Stephen, M.D. New, All Records &
PO Box 2200 Individual Billing
Ocala, FL 34478
Individual Billing
Quad County Treatment Center New, All Records
216 NE 1* Avenue
Ocala, FL 34470
Quad County Treatment Center New, All Records
c/o Randall B. Greene, Registered Agent
601 S. Semoran Blvd.
Orlando, FL 32807
Radiology Associates of Ocala, LLC New, All Records
1901 SE 18" Avenue
Ocala, FL 34471
Radiology Associates of Ocala, LLC New, All Records
31 SW 12" Street
Ocala, FL 34474
Radiology Associates of Ocala, LLC New, All Records
1490 SE Magnolia Ave.
Ocala, FL 34471
Radiology Associates of Ocala, LLC New, All Records
PO Box 6200
Ocala, FL 34478-6200
Radiology Associates of Ocala, LLC New, All Records
c/o Alan S. Gassman, Registered Agent
1245 Court Street, Ste. 102
Clearwater, FL 33756
Radiology Imaging Associates of Ocala, LLC All Records
1818 SW 15" Avenue
Ocala, FL 34471
Radiology Imaging Associates, LLC All Records
1431 SW 1 Avenue
Ocala, FL 34471
Radiology Imaging Associates, LLC All Records
4600 SW 46" Court
Ocala, FL 34474
Radiology Imaging Associates, LLC All Records
(00297436-1
c/o Al Falco, Registered Agent
1673 Mason Avenue, Ste. 305
Daytona Beach, FL 32117
Reddy, Vishnu, M.D. New, All Records &
3256 S. Pine Avenue Individual Billing
Ocala, FL 34471
7 Hill Gastroenterology, P.A. New, All Records
c/o Dr. Vishnu Reddy, M.D., Registered Agent
3256 S. Pine Avenue
Ocala, FL 34471
Riley, Poorti K., M.D. New, All Records &
4600 SW 46" Court, Suite 150 Individual Billing
Ocala, FL 34474
Robertson, Daniel, M.D. All Records &
1901 SE 18" Avenue, Ste. 101 Individual Billing
Ocala, FL 34471
Rodriguez, Cynthia, individually New, All Records &
c/o Ocala Regional Medical Center Individual Billing
1431 SW 1* Avenue
Ocala, FL 34471
Rubin, Jay, M.D. New, All Records &
2685 SW 32” Place, Suite 100 Individual Billing
Ocala, FL 34471
Rubin, Jay, M.D., individually New, All Records &
Neurological Associates Individual Billing
2685 SW 32™ Place, Suite 100
Ocala, FL 34471
Rubin, Jay, M.D., individually New, All Records &
Comprehensive Pain Management Services Individual Billing
2685 SW 32™ Place, Suite 500
Ocala, FL 34471
Salazar, Peter, M.D. New, All Records &
8150 SW ST RD 200 Individual Billing
Ocala, FL 34471
Shetty, Mangala, M.D. New, All Records &
1737 SE 28" Loop, Ste. A Individual Billing
Ocala, FL 34471
Shetty, Mangala, M.D. New, All Records &
(00297436-1 10
PO Box 11147 Individual Billing
Belfast, ME 04915
Southeastern Pain Management Services New, All Records
3309 SW 34" Circle
Ocala, FL 34474
Stanley, Lauri, D.C. New, All Records &
Dunnellon Chiropractic Individual Billing
c/o Cheryl Stanley, Registered Agent
20079 E. Pennsylvania Avenue
Dunnellon, FL 34432
Stantchey, Stanimire P., M.D. New, All Records &
PO Box 4590 Individual Billing
Ocala, FL 32159
Stantchey, Stanimire P., M.D., individually New, All Records &
c/o Radiology Imaging Associates Individual Billing
4600 SW 46" Court
Ocala, FL 34474
Stantchey, Stanimire P., M.D. New, All Records &
c/o Marion Community Hospital Individual Billing
4600 SW 46" Court
Ocala, FL 34474
Stevens, Rachel New, All Records &
PO Box 7477 Individual Billing
Philadelphia, PA 19101
Suncoast Podiatry Associates New, All Records
c/o Stephen Miller RDPM, Registered Agent
3301 SW 34" Circle
Ocala, FL 34474
Tan, Manuel Nelson, M.D., individually New, All Records &
c/o Southeastern Pain Management Services Individual Billing
3309 SW 34" Circle
Ocala, FL 34474
Timbe Ridge Hospital — Billing Records Custodian New, All Records
aka Advent Health Timber-Ridge ER
aka Munroe Regional Medical Center - Timber Ridge Facility
9521 State Road 200
Ocala, FL 34481
(00297436-1 11
Timbe Ridge Hospital — Medical Records Custodian New, All Records
aka Advent Health Timber-Ridge ER
aka Munroe Regional Medical Center - Timber Ridge Facility
9521 State Road 200
Ocala, FL 34481
Timbe Ridge Hospital — Radiology Records Custodian New, All Records
aka Advent Health Timber-Ridge ER
aka Munroe Regional Medical Center - Timber Ridge Facility
9521 State Road 200
Ocala, FL 34481
Timber Ridge Imaging Center New, All Records
aka Timberridge Imaging Center
9521 State Road 200
Ocala, FL 34481
Timber Ridge Medical Center New, All Records
9401 SW Highway 200
Ocala, FL 34481
Timken, Mark J., M.D., R.P.V.I. New, All Records,
200 N. Orlando Avenue Individual Billing
Winter Park, FL 32789
West Marion Community Hospital Updated Billing
aka Ocala Health
aka West Marion Hospital
aka Ocala Regional Medical Center
4600 SW 46" Court
Ocala, FL 34474
Weston-Brown, Khaliliah, M.D. New, All Records,
5365 W. Atlantic Avenue, Suite 504 Individual Billing
Delray Beach, FL 32789
Weston-Brown, Khaliliah, M.D., individually New, All Records,
c/o Central Florida Pain Management Individual Billing
1731 SW 2™ Avenue
Ocala, FL 34471
Varela-Batista, Lourdes L., M.D., individually New, All Records,
c/o Advanced Interventional Pain Clinic Individual Billing
451 South Milwee Street
Longwood, FL 32807
Jaimamgal, Vidya New, All Records,
PO Box 8790 Individual Billing
Philadelphia, PA 19101-8790
(00297436-1 12
Warycha, Dr. Bohdan J., M.D. New, All Records,
1910 SW 18" Court, Ste. 200 Individual Billing
Ocala, FL 34471
Waters, Amanda K., RN New, All Records,
PO Box 848558 Individual Billing
Boston, MA 02284
Waters, Amanda K., RN New, All Records,
c/o Southeastern Pain Management Services Individual Billing
3309 SW 34" Circle
Ocala, FL 34474
Wiley, Brandy M., PA-C New, All Records,
PO Box 7477 Individual Billing
Philadelphia, PA 19101
Wiley, Brandy M., PA-C, individually New, All Records,
c/o MedOne Urgent Care Individual Billing
6160 SW Hwy 200, Ste 119
Ocala, FL 34476
Wiley, Brandy M., PA-C New, All Records,
4343 W. Newberry Road, Suite 3 Individual Billing
Gainesville, FL 32607
Zhou, Yili, M.D. New, All Records,
1910 SW 18" Court, Ste. 200 Individual Billing
Ocala, FL 34471
(00297436-1 13
CERTIFICATE OF SERVICE
I HEREBY CERTIFY that a true and correct copy of the foregoing has been e-served
through the Florida Courts E-filing Portal to: Scott J. Liotta, Esquire, Dan Newlin & Partners, 7335
W. Sand Lake Road, Suite 300, Orlando, Fl 32819 at liotta.pleadings@newlinlaw.com this 2204
day of September 2021.
/s/ Garrett M. Brown
Garrett M. Brown, Esquire
Florida Bar No.: 105765
gbrown@rywantalvarez.com
Gregory D. Jones, Esquire
Florida Bar No.: 372285
gjones@rywantalvarez.con
Rywant, Alvarez, Jones, Russo & Guyton, P.A.
302 Knights Run Avenue, Suite 1000
Tampa, Florida 33602
(Tel) 813-229-7007 / (Fax) 813-223-6544
service(@rywantalvarez.com
Attorneys for Defendant
(00297436-1 14
IN THE CIRCUIT COURT OF THE FIFTH JUDICIAL CIRCUIT
IN AND FOR MARION COUNTY, FLORIDA
CIVIL DIVISION
VIRGINIA PHILLIPS,
Plaintiff, CASE NO: 2019-CA-0142
Vv.
DONALD LAMBERT AND, DJ’S ROOT
SCOOTER, INC., a Florida Corporation,
Defendants.
/
SUBPOENA DUCES TECUM WITHOUT DEPOSITION
THE STATE OF FLORIDA:
TO: Agency for Health Care Administration
Attn: Records Custodian
2727 Maham Drive, MS#4
Tallahassee, FL 32308
YOU ARE COMMANDED to appear at the offices of Rywant, Alvarez, Jones, Russo &
Guyton, P.A., within 15 days of receipt of this subpoena and to have with you at that time and place
the following:
YOUR ENTIRE FILE, INCLUDING, BUT NOT LIMITED TO, A COMPLETE
MEDICAL PAY-OUT LOG, THE PROVIDER PAID, TO WHAT DATE OF
SERVICE THE CHARGE PERTAINS WAS PAID, THE AMOUNT PAID; ALL
HEALTH CLAIM FORMS, BILLS OR INVOICES SUBMITTED BY THE
INSURED OR ANY PHYSICIAN OR EMPLOYER; ANY EXPLANATIONS OF
BENEFITS, ALL EXPLANATIONS OF REVIEW, ALL DENIALS AND
EXPLANATION FOR DENIALS, FOR THE PERIOD OF TIME, ALL TIME
TO PRESENT, AS THEY PERTAIN TO PATIENT/PLAINTIFF: VIRGINIA
PHILLIPS, AKA VIRGINIA POPYK, DOB 07/29/1961, SSN XXX-XX-8076.
These items will be inspected and may be copied at that time. You will not be required to
surrender the original items. You may comply with this subpoena by providing legible copies of the
items to be produced to the attorney whose name appears on this subpoena on or before the scheduled
date of production. You may condition the preparation of the copies upon the payment in advance of
the reasonable cost of preparation. To the extent the total costs for the requested records and/or other
compensable costs to respond to this Subpoena will exceed the sum of $100.00, please provide a
written estimate of the costs to the undersigned attorney before providing the records and before you
incur any costs you contend are compensable. You may mail or deliver the copies to the attorney(s)
whose name appears on this subpoena and thereby eliminate your appearance at the time and place
specified above. You have the right to object to the production pursuant to this subpoena at any time
before production by giving written notice to the attorney whose name appears on this subpoena. This
will not be a deposition. No testimony will be taken.
(00298075-1
If you fail to: (1) appear as specified; or (2) furnish the records instead of appearing as provided
above; or (3) object to this subpoena, you may be in contempt of Court. You are subpoenaed by the
attorneys whose names appear on this subpoena and unless excused from this subpoena by the attorneys
or the Court, you shall respond to this subpoena as directed.
HIPAA - Certificate of Non-Objection, Certificate of Compliance & Certificate of Assurance
The undersigned attorney hereby certifies that a good faith attempt has been made to
provide written notice to the above-named patient (and/or that patient’s attorney) of the intent
to obtain the patient’s medical record and/or other Protected Health Information (PHI). This
Notice was presented in the form of a Notice of Production from Non Party which included
sufficient information about the litigation or proceeding, including the case style, case number
and the records or information requested, to permit the patient to raise an objection to the
production of the requested records or information. This subpoena was issued only after: (a) the
patient waived any objections; (b) the patient made no objection with the requisite time to do so;
or (c) any objections were resolved. Further Assurance is given that this information is for the
purpose of this captioned litigation ONLY and will be destroyed.
Dated on this day of September, 2021.
GARRETT M. BROWN, ESQ.
For the Court
4s/ Garrett M. Brown, Esq.
Garrett M. Brown, Esquire
FBN: 01015765
Rywant, Alvarez, Jones, Russo & Guyton, P.A.
302 Knights Run Avenue, Suite 1000
Tampa FL 33602
Tel: (813) 229-7007
Fax: (813) 223-6544
Attorneys for Defendant
*PLEASE INCLUDE A COPY OF YOUR W-9 WITH ANY INVOICES and please
Direct all invoices and copy charges to mgerhardt@rywantalvarez.com*
If you are a person with a disability who needs any accommodation in order to
participate in this proceeding, you are entitled, at no cost to you, to the
provision of certain assistance. Please contact Garrett Brown, Esquire, 302
Knights Run Avenue, Suite 1000, Tampa, FL 33602, 813-229-7007 at least 7
days before your scheduled appearance, or immediately upon receiving this
notification if the time before the scheduled appearance is less than 7 days; if
you are hearing or voice impaired, call 711.
(00298075-1
IN THE CIRCUIT COURT OF THE FIFTH JUDICIAL CIRCUIT
IN AND FOR MARION COUNTY, FLORIDA
CIVIL DIVISION
VIRGINIA PHILLIPS,
Plaintiff, CASE NO: 2019-CA-0142
Vv.
DONALD LAMBERT AND, DJ’S ROOT
SCOOTER, INC., a Florida Corporation,
Defendants.
/
SUBPOENA DUCES TECUM WITHOUT DEPOSITION
THE STATE OF FLORIDA:
TO: CMS, Medicare Atlanta Regional Office
Attn: Records Custodian
Atlanta Federal Center, 4"" Floor
61 Forsyth Street, SW, Ste. 4T20
Atlanta, GA 30303-8909
YOU ARE COMMANDED to appear at the offices of Rywant, Alvarez, Jones, Russo &
Guyton, P.A., within 15 days of receipt of this subpoena and to have with you at that time and place
the following:
YOUR ENTIRE FILE, INCLUDING, BUT NOT LIMITED TO, A COMPLETE
MEDICAL PAY-OUT LOG, THE PROVIDER PAID, TO WHAT DATE OF
SERVICE THE CHARGE PERTAINS WAS PAID, THE AMOUNT PAID; ALL
HEALTH CLAIM FORMS, BILLS OR INVOICES SUBMITTED BY THE
INSURED OR ANY PHYSICIAN OR EMPLOYER; ANY EXPLANATIONS OF
BENEFITS, ALL EXPLANATIONS OF REVIEW, ALL DENIALS AND
EXPLANATION FOR DENIALS, FOR THE PERIOD OF TIME, ALL TIME
TO PRESENT, AS THEY PERTAIN TO PATIENT/PLAINTIFF: VIRGINIA
PHILLIPS, AKA VIRGINIA POPYK, DOB 07/29/1961, SSN XXX-XX-8076.
These items will be inspected and may be copied at that time. You will not be required to
surrender the original items. You may comply with this subpoena by providing legible copies of the
items to be produced to the attorney whose name appears on this subpoena on or before the scheduled
date of production. You may condition the preparation of the copies upon the payment in advance of
the reasonable cost of preparation. To the extent the total costs for the requested records and/or other
compensable costs to respond to this Subpoena will exceed the sum of $100.00, please provide a
written estimate of the costs to the undersigned attorney before providing the records and before you
incur any costs you contend are compensable. You may mail or deliver the copies to the attorney(s)
whose name appears on this subpoena and thereby eliminate your appearance at the time and place
specified above. You have the right to object to the production pursuant to this subpoena at any time
before production by giving written notice to the attorney whose name appears on this subpoena. This
will not be a deposition. No testimony will be taken.
(00298075-1
Tf you fail to: (1) appear as specified; or (2) furnish the records instead of appearing as provided
above; or (3) object to this subpoena, you may be in contempt of Court. You are subpoenaed by the
attorneys whose names appear on this subpoena and unless excused from this subpoena by the attorneys
or the Court, you shall respond to this subpoena as directed.
HIPAA - Certificate of Non-Objection, Certificate of Compliance & Certificate of Assurance
The undersigned attorney hereby certifies that a good faith attempt has been made to
provide written notice to the above-named patient (and/or that patient’s attorney) of the intent
to obtain the patient’s medical record and/or other Protected Health Information (PHI). This
Notice was presented in the form of a Notice of Production from Non Party which included
sufficient information about the litigation or proceeding, including the case style, case number
and the records or information requested, to permit the patient to raise an objection to the
production of the requested records or information. This subpoena was issued only after: (a) the
patient waived any objections; (b) the patient made no objection with the requisite time to do so;
or (c) any objections were resolved. Further Assurance is given that this information is for the
purpose of this captioned litigation ONLY and will be destroyed.
Dated on this day of September, 2021.
GARRETT M. BROWN, ESQ.
For the Court
/s/ Garrett M. Brown, Esq.
Garrett M. Brown, Esquire
FBN: 01015765
Rywant, Alvarez, Jones, Russo & Guyton, P.A.
302 Knights Run Avenue, Suite 1000
Tampa FL 33602
Tel: (813) 229-7007
Fax: (813) 223-6544
Attorneys for Defendant
*PLEASE INCLUDE A COPY OF YOUR W-9 WITH ANY INVOICES and please
Direct all invoices and copy charges to mgerhardt@rywantalvarez.com*
If you are a person with a disability who needs any accommodation in order to
participate in this proceeding, you are entitled, at no cost to you, to the
provision of certain assistance. Please contact Garrett Brown, Esquire, 302
Knights Run Avenue, Suite 1000, Tampa, FL 33602, 813-229-7007 at least 7
days before your scheduled appearance, or immediately upon receiving this
notification if the time before the scheduled appearance is less than 7 days; if
you are hearing or voice impaired, call 711.
10298075-1
IN THE CIRCUIT COURT OF THE FIFTH JUDICIAL CIRCUIT
IN AND FOR MARION COUNTY, FLORIDA
CIVIL DIVISION
VIRGINIA PHILLIPS,
Plaintiff, CASE NO: 2019-CA-0142
Vv.
DONALD LAMBERT AND, DJ’S ROOT
SCOOTER, INC., a Florida Corporation,
Defendants.
/
SUBPOENA DUCES TECUM WITHOUT DEPOSITION
THE STATE OF FLORIDA:
TO: Care Plus Health Plans, Inc. (CPHP)
Attn: Records Custodian
PO Box 14697
Lexington, KY 40512
YOU ARE COMMANDED to appear at the offices of Rywant, Alvarez, Jones, Russo &
Guyton, P.A., within 15 days of receipt of this subpoena and to have with you at that time and place
the following:
YOUR ENTIRE FILE, INCLUDING, BUT NOT LIMITED TO, A COMPLETE
MEDICAL PAY-OUT LOG, THE PROVIDER PAID, TO WHAT DATE OF
SERVICE THE CHARGE PERTAINS WAS PAID, THE AMOUNT PAID; ALL
HEALTH CLAIM FORMS, THE NATURE OF THE SERVICES AND
TREATMENT RELATED TO EACH PAYMNET, BILLS OR INVOICES
SUBMITTED BY THE INSURED OR ANY PHYSICIAN OR EMPLOYER;
ANY EXPLANATIONS OF BENEFITS, ALL EXPLANATIONS OF REVIEW,
ALL DENIALS AND EXPLANATION FOR DENIALS, FOR THE PERIOD OF
TIME, ALL TIME TO PRESENT, AS THEY PERTAIN TO
PATIENT/PLAINTIFF: VIRGINIA PHILLIPS, AKA VIRGINIA POPYK,
DOB 07/29/1961, SSN XXX-XX-8076.
These items will be inspected and may be copied at that time. You will not be required to
surrender the original items. You may comply with this subpoena by providing legible copies of the
items to be produced to the attorney whose name appears on this subpoena on or before the scheduled
date of production. You may condition the preparation of the copies upon the payment in advance of
the reasonable cost of preparation. To the extent the total costs for the requested records and/or other
compensable costs to respond to this Subpoena will exceed the sum of $100.00, please provide a
written estimate of the costs to the undersigned attorney before providing the records and before you
incur any costs you contend are compensable. You may mail or deliver the copies to the attorney(s)
whose name appears on this subpoena and thereby eliminate your appearance at the time and place
specified above. You have the right to object to the production pursuant to this subpoena at any time
before production by giving written notice to the attorney whose name appears on this subpoena. This
will not be a deposition. No testimony will be taken.
(00298075-1
Tf you fail to: (1) appear as specified; or (2) furnish the records instead of appearing as provided
above; or (3) object to this subpoena, you may be in contempt of Court. You are subpoenaed by the
attorneys whose names appear on this subpoena and unless excused from this subpoena by the attorneys
or the Court, you shall respond to this subpoena as directed.
HIPAA - Certificate of Non-Objection, Certificate of Compliance & Certificate of Assurance
The undersigned attorney hereby certifies that a good faith attempt has been made to
provide written notice to the above-named patient (and/or that patient’s attorney) of the intent
to obtain the patient’s medical record and/or other Protected Health Information (PHI). This
Notice was presented in the form of a Notice of Production from Non Party which included
sufficient information about the litigation or proceeding, including the case style, case number
and the records or information requested, to permit the patient to raise an objection to the
production of the requested records or information. This subpoena was issued only after: (a) the
patient waived any objections; (b) the patient made no objection with the requisite time to do so;
or (c) any objections were resolved. Further Assurance is given that this information is for the
purpose of this captioned litigation ONLY and will be destroyed.
Dated on this day of September, 2021.
GARRETT M. BROWN, ESQ.
For the Court
/s/ Garrett M. Brown, Esq.
Garrett M. Brown, Esquire
FBN: 01015765
Rywant, Alvarez, Jones, Russo & Guyton, P.A.
302 Knights Run Avenue, Suite 1000
Tampa FL 33602
Tel: (813) 229-7007
Fax: (813) 223-6544
Attorneys for Defendant
*PLEASE INCLUDE A COPY OF YOUR W-9 WITH ANY INVOICES and please
Direct all invoices and copy charges to mgerhardt@rywantalvarez.com*
If you are a person with a disability who needs any accommodation in order to
participate in this proceeding, you are entitled, at no cost to you, to the
provision of certain assistance. Please contact Garrett Brown, Esquire, 302
Knights Run Avenue, Suite 1000, Tampa, FL 33602, 813-229-7007 at least 7
days before your scheduled appearance, or immediately upon receiving this
notification if the time before the scheduled appearance is less than 7 days; if
you are hearing or voice impaired, call 711.
10298075-1
IN THE CIRCUIT COURT OF THE FIFTH JUDICIAL CIRCUIT
IN AND FOR MARION COUNTY, FLORIDA
CIVIL DIVISION
VIRGINIA PHILLIPS,
Plaintiff, CASE NO: 2019-CA-0142
Vv.
DONALD LAMBERT AND, DJ’S ROOT
SCOOTER, INC., a Florida Corporation,
Defendants.
/
SUBPOENA DUCES TECUM WITHOUT DEPOSITION
THE STATE OF FLORIDA:
TO: Care Plus Health Plans, Inc. (CPHP)
Attn: Records Custodian
c/o Corporation Service Company, Registered Agent
1201 Hayes Street
Tallahassee, FL 32301-2525
YOU ARE COMMANDED to appear at the offices of Rywant, Alvarez, Jones, Russo &
Guyton, P.A., within 15 days of receipt of this subpoena and to have with you at that time and place
the following:
YOUR ENTIRE FILE, INCLUDING, BUT NOT LIMITED TO, A COMPLETE
MEDICAL PAY-OUT LOG, THE PROVIDER PAID, TO WHAT DATE OF
SERVICE THE CHARGE PERTAINS WAS PAID, THE AMOUNT PAID; ALL
HEALTH CLAIM FORMS, THE NATURE OF THE SERVICES AND
TREATMENT RELATED TO EACH PAYMNET, BILLS OR INVOICES
SUBMITTED BY THE INSURED OR ANY PHYSICIAN OR EMPLOYER;
ANY EXPLANATIONS OF BENEFITS, ALL EXPLANATIONS OF REVIEW,
ALL DENIALS AND EXPLANATION FOR DENIALS, FOR THE PERIOD OF
TIME, ALL TIME TO_ PRESENT, AS THEY PERTAIN TO
PATIENT/PLAINTIFF: VIRGINIA PHILLIPS, AKA VIRGINIA POPYK,
DOB 07/29/1961, SSN XXX-XX-8076.
These items will be inspected and may be copied at that time. You will not be required to
surrender the original items. You may comply with this subpoena by providing legible copies of the
items to be produced to the attorney whose name appears on this subpoena on or before the scheduled
date of production. You may condition the preparation of the copies upon the payment in advance of
the reasonable cost of preparation. To the extent the total costs for the requested records and/or other
compensable costs to respond to this Subpoena will exceed the sum of $100.00, please provide a
written estimate of the costs to the undersigned attorney before providing the records and before you
incur any costs you contend are compensable. You may mail or deliver the copies to the attorney(s)
whose name appears on this subpoena and thereby eliminate your appearance at the time and place
specified above. You have the right to object to the production pursuant to this subpoena at any time
(00298075-1
before production by giving written notice to the attorney whose name appears on this subpoena. This
will not be a deposition. No testimony will be taken.
Ifyou fail to: (1) appear as specified; or (2) furnish the records instead of appearing as provided
above; or (3) object to this subpoena, you may be in contempt of Court. You are subpoenaed by the
atto